TEP repair is a MIS technique associated with reduced postoperative pain, faster recovery, decreased risk of chronic pain, and improved cosmetic outcomes. This video presents a standard case in a middle-aged male with symptomatic bilateral direct hernias, highlighting key steps such as port placement, retrorectus dissection, landmark identification, and management of spermatic cord lipomas. Intraoperative challenges—including bleeding, scar tissue, and peritoneal thinning—were addressed. Mesh selection, placement, and fixation are discussed. This case underscores the importance of anatomical precision, flexible intraoperative decision-making, and thorough dissection in achieving successful TEP hernia repair. The patient experienced an uneventful postoperative recovery.